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2018

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1
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߂inƑjRegistration: First, please fill in the following information and push the "SEND" button.
Present Address:
County:, City, Borough, District:
How many years have you been in this City?:
years old
Nationality:
YourAge: ()
years old,
YourGender:
Please check all members who you are living with:
Infancy(age0-5) FatherMotherBrother(s)/Sister(s)Grand-FatherGrand-Mother
Elementary FatherMotherBrother(s)/Sister(s)Grand-FatherGrand-Mother
Present SpouseChild(ren)FatherMotherBrother(s)/Sister(s)
Grand-FatherGrand-MotherGrand_Child(ren)OtherOnly Yourself
Nickname: Put any letters and/or numbers to identify yourself
Password: Put 8 or more letters and/or symbols and/or numbers
InputDate:
Organization Number: () If there is a organization number printed in your questionnair, please write it here